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目的探讨宫腔镜、诊断性刮宫术、妇科彩超诊断子宫内膜息肉的准确性。方法对因子宫异常出血患者306例全部进行妇科彩超检查,超声提示宫腔内异常回声病例行诊断性刮宫术及宫腔镜定位取材并经病理检验,将诊断子宫内膜息肉的三种方法进行对比分析。结果经病理检查确诊子宫内膜息肉95例,发生率31.05%;宫腔镜诊断108例,符合率为87.96%;诊断性刮宫术诊断70例,符合率为73.68%,妇科彩超检查诊断51例,符合率为53.13%,三种诊断方法比较差异有统计学意义(P<0.05)。结论宫腔镜检查能直视子宫内膜情况,镜下检查、定位、活检准确可靠,手术效果满意,是子宫内膜息肉诊断与治疗的较佳手段。
Objective To investigate the accuracy of hysteroscopy, diagnostic curettage and gynecological color Doppler ultrasound in the diagnosis of endometrial polyps. Methods All patients with abnormal uterine bleeding in 306 cases of gynecological color Doppler ultrasound showed intrauterine abnormal echo cases of diagnostic curettage and hysteroscopic localization and pathological examination, the diagnosis of endometrial polyps in three ways Comparative analysis. Results The pathological examination confirmed 95 cases of endometrial polyps, the incidence rate of 31.05%; hysteroscopy in 108 cases, the coincidence rate was 87.96%; diagnostic curettage in 70 cases, the coincidence rate was 73.68%, gynecological color Doppler ultrasound diagnosis of 51 cases , With a coincidence rate of 53.13%. There were significant differences among the three diagnostic methods (P <0.05). Conclusion Hysteroscopy can look directly into the endometrium, microscopic examination, positioning, biopsy accurate and reliable, satisfactory results, is a better means of diagnosis and treatment of endometrial polyps.